Healthcare Provider Details

I. General information

NPI: 1134810880
Provider Name (Legal Business Name): SANDRA OROPEZA GALVAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2023
Last Update Date: 05/15/2023
Certification Date: 05/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4141 S NOGALES ST
WEST COVINA CA
91792-3056
US

IV. Provider business mailing address

2449 W CHERRY AVE
FULLERTON CA
92833-3511
US

V. Phone/Fax

Practice location:
  • Phone: 833-831-8946
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: